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Adults

Of all substances that are recognized as irritating to asthmatics, second-hand smoke, or environmental tobacco smoke (ETS) appears to be the most irritating. In addition, children who are exposed to ETS during childhood may be as much as two times more likely to develop asthma as an adult as those who are not exposed to ETS as children. While scientists have suspected for some time that ETS exposure plays a role in the development of asthma and in triggering asthma attacks, it has sometimes been difficult to determine the exact extent of its involvement in asthma and other illnesses.

Researchers from Orebro Medical Center Hospital in Sweden recently presented results of their study at the 1999 annual scientific meeting of the American College of Chest Physicians. They analyzed results of a questionnaire dealing with respiratory disorders and smoking that was part of a large study in Sweden. Of the 8,000 questionnaires that were sent to participants, 84.5 percent, or approximately 6,760 people responded.

When researchers looked at those who had never smoked, 7.9 percent of those who had been exposed to ETS in the home as children had asthma as adults, and 5.9 percent of those who had not been exposed to ETS in the home had asthma as adults. When they looked at those who had no family history of asthma, the results were more striking. Those exposed to ETS in the home as children were almost twice as likely to be diagnosed with asthma.

When they examined the prevalence of lower-airway irritants, ETS was reported in more than one-fifth (21 percent) of all questionnaires, occurring more frequently than exercise, cold air, dust, exercise, perfume, pollen, and pets. In addition, more than half (54.4 percent) of those exposed to ETS as children smoked as adults, as opposed to approximately one-third (33.8 percent) of those who had not been exposed to ETS in the home.

These researchers, therefore, concluded that childhood ETS exposure in the home increases a child's risk for developing asthma and for smoking.

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